{"created":"2023-06-19T11:22:59.770861+00:00","id":3454,"links":{},"metadata":{"_buckets":{"deposit":"011f3576-e8f4-447c-b018-a7c3556eb854"},"_deposit":{"created_by":3,"id":"3454","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3454"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003454","sets":["7","7:23"]},"author_link":["9573","9574","9575","9576"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"9","bibliographicPageStart":"6","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"名寄市立病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胸部大動脈破裂17例(男14例・女3例・平均69.6歳)の手術成績を報告した。疾患は真性瘤11例、解離による破裂4例、外傷性2例で、術前の状態は心タンポナーデ6例、ショック5例、心停止4例、冠虚血合併1例であった。術式は上行置換1例、上行弓部置換5例で、弓部全置換の1例にopen stent grafting(OS)を併施した。他は下行置換7例、OS 4例であった。術後早期合併症は脳梗塞2例、脊髄麻痺2例、血液浄化を要する腎不全4例、周術期心筋梗塞1例で、術前心停止の1例は蘇生後脳症となった。周術期死亡は術前心停止の2例で、低心拍出量症候群が原因であった。また、遠位弓部大動脈瘤破裂に対しOSを行った1例が術後8ヵ月で大動脈食道瘻により死亡した。平均観察期間38.7ヵ月での生存率は80.9%であった。術式による比較では、OS群が弓部置換群に比較して大動脈遮断時間が有意に短かった。手術時間、体外循環時間、脳分離時間は有意差がなかった。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-2749","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007010069"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"765"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"883"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Izumi, Yuichi"},{"subitem_text_language":"en","subitem_text_value":"Magishi, Katsuaki"},{"subitem_text_language":"en","subitem_text_value":"Fujimori, Takehiro"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田中, 和幸","creatorNameLang":"ja"},{"creatorName":"タナカ, カズユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9573","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"和泉, 裕一","creatorNameLang":"ja"},{"creatorName":"イズ, ユウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9574","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"眞岸, 克明","creatorNameLang":"ja"},{"creatorName":"マギシ, カツアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9575","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤森, 丈広","creatorNameLang":"ja"},{"creatorName":"フジモリ, タケヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9576","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"3974.pdf","filesize":[{"value":"3.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3974.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/3454/files/3974.pdf"},"version_id":"e80bc9c2-8fca-4941-806d-6e08e0a0976f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胸部大動脈","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"胸部大動脈瘤","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"大動脈解離","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"緊急手術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"外傷","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胸部大動脈破裂に対する緊急手術の成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胸部大動脈破裂に対する緊急手術の成績","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-09-01"},"publish_date":"2011-09-01","publish_status":"0","recid":"3454","relation_version_is_last":true,"title":["胸部大動脈破裂に対する緊急手術の成績"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T08:54:06.477253+00:00"}